乳腺癌术后患者创伤后成长与心理弹性和生命质量的相关性研究

摘要 目的：探讨乳腺癌术后患者创伤后成长（PTG）的影响因素，并分析其与心理弹性和生命质量的关系。方法：选择2020年1月~2021年8月在山东省立第三医院接受手术治疗的乳腺癌患者80例作为研究对象。采用创伤后成长量表（PTGI）评价乳腺癌术后患者PTG情况。采用乳腺癌患者生命质量测定量表（FACT-B）评价生命质量。采用心理弹性量表（CD-RISC）评价心理弹性。采用单因素及多因素Logistic回归分析乳腺癌术后患者PTG的影响因素，采用Pearson相关性分析PTGI评分与CD-RISC评分和FACT-B评分的关系。结果：乳腺癌术后患者PTGI评分为（50.38±13.39）分，根据PTGI评分将其分为PTG高分组（n=32）和PTG低分组（n=48）。乳腺癌术后患者PTG水平与文化程度、家庭月收入、疾病发现方式、工作状况、手术方式、临床分期、术后并发症、基础疾病有关（P<0.05）。多因素Logistic回归分析结果显示：家庭月收入<3000元、临床分期为II期、文化程度为小学及其以下、手术方式为乳房切除、有术后并发症、有基础疾病均是乳腺癌术后患者PTG的危险因素（P<0.05）。PTG高分组患者的CD-RISC、FACT-B评分高于PTG低分组，组间对比有统计学差异（P<0.05）。Pearson相关性分析结果显示，PTGI评分与CD-RISC评分、FACT-B评分呈正相关（P<0.05）。结论：乳腺癌术后患者PTG水平一般，受到临床分期、文化程度、手术方式等多种因素的影响，临床工作中应对相关因素予以重视并及时干预。同时PTG会影响患者的心理弹性和生命质量，PTG水平越高，心理弹性越好，生命质量亦越高。

Correlation Study between Posttraumatic Ggrowth, Psychological Resilience and Quality of Life in Patients with Breast Ccancer after Operation

ABSTRACT Objective: To investigate the influencing factors of posttraumatic growth (PTG) in patients with breast cancer after operation, and to analyze their relationship with psychological resilience and quality of life. Methods: 80 patients with breast cancer who received surgical treatment in Shandong Provincial Third Hospital from January 2020 to August 2021 were selected as research subjects.The posttraumatic growth inventory (PTGI) was used to evaluate the PTG status of patients with breast cancer after operation. The quality of life was assessed by the Functional Assessment of Cancer Therapy-breast (FACT-B). Psychological resilience was evaluated by Connor-Davidson resilience scale (CD-RISC). Univariate and multivariate Logistic regression analysis was used to analyze the influencing factors of PTG in patients with breast cancer after operation. The correlation between PTGI score and CD-RISC score and FACT-B score were analyzed by Pearson correlation analysis. Results: The PTGI score of patients with breast cancer after operation was (50.38±13.39) scores. According to PTGI score, they were divided into PTG high score group (n=32) and PTG low score group (n=48). PTG level in patients with breast cancer after operation was related to education level, family monthly income, disease detection pattern, work status, operation mode, clinical stage, postoperative complications and underlying diseases (P<0.05). Multivariate Logistic regression analysis showed that family monthly income <3000 yuan, clinical stage for II, education level for primary school and below, operation mode for mastectomy, with postoperative complications, and with underlying diseases were all risk factors for PTG in patients with breast cancer after operation (P<0.05). The scores of CD-RISC and FACT-B in patients with PTG high score group were higher than those in patients with PTG high score group, and there were statistical differences between groups (P<0.05). Pearson correlation analysis showed that PTGI score was positively correlated with CD-RISC score and FACT-B score (P<0.05). Conclusion: The PTG level in patients with breast cancer after operation is generally, which are influenced by many factors such as clinical stage, education level and operation mode. In clinical work, we should pay attention to relevant factors and intervene in time. At the same time, PTG will affect patients'' psychological resilience and quality of life. The higher the PTG level, the better psychological resilience, and the higher quality of life.